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NPI Code Detail

MEDICARE: MS. LATISA BELL

MEDICARE:  MS. LATISA  BELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1154844389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LATISA BELL
Provider Business Mailing Address
First Line : PO BOX 7509
Second Line :
City : NEWARK
State : NJ
Zip : 07107-0509
Country : US
Telephone Number : 862-235-8613
Fax Number :
Provider Business Practice Location Address
First Line : 206 SPRINGDALE AVE UNIT B
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07017-4819
Country : US
Telephone Number : 862-235-8613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 07/19/2017

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Directions to “ MS. LATISA BELL ” Practice Location

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